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HomeMy WebLinkAbout026-1046-70-000 Parcel #: 026- 1046 -70 -000 07/10/2009 09:50 AM PAGE 1 OF 1 Alt. Parcel #: 15.30.18.230C 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner MELVIN R & DONA TR KONRADY O - KONRADY, MELVIN R & DONA TR 1280 CTY RD G NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1280 CTY RD G SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 9.410 Plat: N/A -NOT AVAILABLE SEC 15 T30N R18W 6.91A LOT 1B AS SHOWN Block/Condo Bldg: ON CSM IN VOL 1/ 93 ALSO 1.89A AS DESC IN VOL 611/24 & ALSO INC PT DESC IN WD Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1419/44 15- 30N -18W SE SE Notes: Parcel History: THIS PCL APPEARS TO OVERLAP PCL OWNED BY Date Doc # Vol /Page Type WOLVERTS 15.30.18.230A -30 PT AS DESC IN 09/17/2007 860640 WD 1535 -23. NEEDS CLARIFICATION OF 07/16/2006 855615 WD BOUNDARY & QUIT CLAIMS TO CLARIFY 04/15/1999 601338 1419/44 WD OWNERSHIP 2009 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/09/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.910 68,800 209,400 278,200 NO AGRICULTURAL G4 2.500 500 0 500 NO Totals for 2009: General Property 9.410 69,300 209,400 278,700 Woodland 0.000 0 0 Totals for 2008: General Property 9.410 69,300 209,400 278,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 312 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 II - 7 6854 P` 1 VOL 2 , 1 84 e KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Title 08/21/2003 12:15Ptf St. Croix County _ZONING AFFIDAVIT y EXEWT # Affidavit of System Rejuvenation 4 ; ;: a REC FEE 11. TRANS FEE: COPY FEE: 2.00 L CC FEE: t� N e - (Owner) PAGES: 1 Typed r printed a' being duly sworn, states, under oath, that: 1. He/she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume C, Page Document NumberSt. Croix County Register of Deeds Office: Recordl Area � and eturn Address A parcel of land located in the Y4 of theme % of Section 1' �I ui r) kph fct 41 T 0 N — R _ W, Town of (G �� , St. Croix 12q- Cl, County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): /Dy6 00 A1ar 1-07 J A cl m / 3 Parcel identification Num o2& -10y�- - 70 -C�D IVI As owner of the above described property, 1 acknowledge that the septic system serving this residence Qslis not) undersized by current code standards. I understand that the Issuance of a sanitary permit to allow the attempted rejuvenation of the septic system does not imply that the system meets current code sizing requirements, nor does it imply that the proposed procedure will be successful. 1 also acknowledge that I will make this Information available to any future parties interested in pruchasing this property. Dated this day of J UNE e v / h le. * G v v AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) autherntcated this day of St. Croix County. \ _ K � Personally came before me this day of —A-! the above m id * �LVrN ECokr�.a.ay A TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) Instrument god acknowledge the e. THIS INSTRUMENT WAS DRAFTED BY All Notary Public, State of Wiscons n (Signatures may be authenticated or acknowledged. Both are not My Commis ion is an t If not, state expiration date: necessary.) Date: / 43' 0 "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" This Information must be completed by submitter document title. name & retum addre ss. and EN (if required). Other information such as the granting clauses, leagal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note: Use of this cover pace adds one pace to vour document and 52.00 to the recordina fee. 141sconsin Statutes. 59.517. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division • INSPECTION REPORT sanitary Permit No: 453200 0 IPE GENERAL INFORMATION (ATTACH TICRVIIT) tate Plan 1D No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)( .n)]. Permit Holder's Name: City Village X Township Parcel Tax No: Konrad y, Melvin Richmond Township 026- 1046 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: n AfC b1014,y Section/Town /Range /Map No: (7 cz rne, S �� Q tlu�es� -�c� -l�p,� I 15.30.18.230C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Cam I 'Z 5 0 6M a -SS z / 00. 6 Dosing Alt. BM , , D 1 /00 Aeration Bldg. Sewer U►'r Holding St/Ht Inlet 1 1 1 , 07 21, YX �- TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet _ Septic / ^ ! /- 3� Dt Bottom -7 Dosing f U Head r /Man. Aeration Dist. Pipe Holding Bot. System Final Grade Z / � 6 PUMP /SIPHON INFORMATION Manufacturer Demand St Cover I d GPM Model Number 65 q1 vri / TDH Friction Loss System He T 5.' .;� 2S. 3.S b Forcemain Length Dia. Dist. to Well U 1 3(�, �, ��� 7 7. s SOIL ABSORPTION SYSTEM DIMENSIONS Width ILength No. Of Trenches nches PIT DIMENSI NS NoOf Pits /Inside Dia. i Liquid Oepth DIMENSIONS IONS // SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: �� ! INFORMATION CHAMBER OR Type Of System: / / )22, / UNIT Model Number: DISTRIBUTION SYSTEM t 5 Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ry Pipe(s) / !/ / Lengt Dia Length 90 Dia I t � Spacing J / - A SOIL COVER x Pressure Systenrls Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil / Yes No V1 j ,�"j No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_1r, / I Dy EL Inspection #2: 0 6 / /�1L Location: 1279 Co Rd G Unknown (SE 1/4 SE 114 15 T30N R18W) NA Lot 1B / Parcel - L No - 15.30.18.2300 a f fiQ 1.) Alt BM Description = �t1 C (�� >7DlJG� -�U iLp/z, �tif 5'f ��� t/ �J Gi �� ! /r" l ?�yy i� acw, . al"k 2.) Bldg sewer length = 2� "W (o ` ! Q tJ / r a /,L.ce ( ja lxcj�eX - amount of cover = (� LruI t qu r� ('b� >�b ►G�c1nQ �ryert l � �� d iM 5�( 5 4h wt d Gwal was �u P.� o &eu, .ec -- — -- _ - Plan revision Required? I Yes >�I No Use other side for additional information._ �_ -�V J J __ ' Q"`�► _ SBD -6710 (R.3/97) Date Insepctor's Signat Cert. No. Safety and Buildings Division County > Al W 201 W. Washington Ave., P.O. Box 7162 �J i t C N VIsconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (60 266-3151 2- OZ Sanitary Permit Application p State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provid • IU �' � °TQfINS. ID. tr may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if different than ailing address) 1. Application Information - Please Print All Information J S a A-JZ- Property Owner's Na me Parcel # ( Lot A l Block# ffi3OA t�`t V on trc PFrF61 DD tko ,-1 (0 - - 'm C. z 3oc Property Owner's M ailing Address Property Location 7 ', e� _ C� M�1' z. l� City, State Zip Cod Peor+e`l�lumber 13C , 'A r � circle. ) L T � V N; R�E or� H. Type of Building (check all that apply) 1 or 2 Family Dwelling - Number of toms 'y Subdivision Name M Number ❑ Public /Commercial - Describe Use �, 6 S - - -- 3 U State Owned - Describe Use X lao , 4'z' _ City_ ❑Village C6ownship of ki"d Ac ,0 M. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System Re lacement System y p y ❑ Treatment/Holding Tank Replacement Only 11 Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. Type of POWTS System: Check all that ❑ Non - Pressurized In- Ground Mound > 24 in . o f suitable soi Mound < 24 in. of suitable soil El At-Grade El Single Pass Sand Filter (� Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis reatment Area Information: Desi T Flow (gpd) Design Soil Application Rate(gpdst) Dispersat Area Required (s0 Dispersal Area Proposed (sf) System Elevation x Do oo.(o5 V1. Tank Info Capacity in Total Number Matauf cturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units © C, R C U —4 E�) Concrete Constructed Glass New Existing t< _ UO�- I Tanks Tanks O Septic Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- 1, the undersign ' -, m re possibility for ' of the POWTS shown on the attached pt'.. her's Na nt) PI tier's S gnatur MP PRS umber Business Phone Number Plumber s Addre ss ( City, State, Zip Code) VIII. CMmtyT!partment Use Onl Approved ❑ Disapproved Sanitary Permit Fee includes Groundwater Date Issued =uingent Signature (No Stamps) Surcharge Fee) El Given Reason for Denial 2� IX. Conditions of A prov SYSTEM OWNER: 3) 6c 1 Septic tank, effluent filter and C nom_ dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complew plaes (to the County only) for the sysum on paper not less thm 81/2 x 11 imbes in size S BD -6198 (R 01 /01) (FL-00D ?(_PvIAJ = O&AX C 1 �+ Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.state.wi. us /sb N visc , onsin www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary March 18, 2004 CUST ID No.220537 ATTN: POWTS Inspector CALVIN W POWERS JR ZONING OFFICE POWERS EXCAVATING, INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/18/2006 Identification Numbers Transaction ID No. 976832 SITE: Site ID No. 671649 Melvin Konrady Please refer to both identification numbers, 1280 County Road 6 above, in all correspondence with the agency. Town of Richmond St Croix County SE1 /4, SEI /4, S15, T30N, R18W FOR: Description: Four Bedroom Replacement Mound System using EZ Flow Polystyrene Aggregate Object Type: POWTS Component Manual Regulated Object ID No.: 946284 Maintenance required; Replacement system; 600 GPD Flow rate; 37 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); EZ Flow 1203H Polystyrene Aggregate bundles; Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01) and publication SBD- 10706- P(N01 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0 ". • The EZ Flow bundles must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of See. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may includ& 1pyM • �r�� inspectors. 14dit, t c 0 , %0� CALVIN W POWERS JR Page 2 3/18/04 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608) -789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 X2 0 TITLE SHEE � DATE: PAGE�OF� O, MOUND SYSTEM R FOR A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual VERSION 2.0 SBD- 10691 -P (N. 01 /01)and the Pressure Distribution Manual VERISION 2.0 SBD- 10706 -P. (N. 01 /01) LO _TED IN THE E /4 OF THF 1/4 OF SECTION �,T3QN, R ,TOWN OF vx�o , ST. CROIX COUNTY, WISCONSIN. INDEX PAGE l OF 8 TITLE SHEET PAGE 2 OF 8 PLOT PLAN PAGE 3 OF 8 PLANVIEW CROSS SECTION PAGE 4 OF 8 DISTRIBUTION PIPE LAYOUT PAGE 5 OF 8 PUMP CHAMBER CROSS SECTION PAGE 6 OF 8 SYSTEM MANAGEMENT PLAN PAGE 7 OF 8 PUMP CURVE PAGE 8 OF 8 CROSS SECTION OF E Z FLOW PREPA FOR V\ IfICL) P P BY #22 537 �� POWERS EX A ATING INC. 1969 185 " AVE. NEW RICHMOND, WIS. 54017 PHONE: 715- 246 -5135 FAX: 715 -246 -5135 CELL: 715- 381 -9920 D�PPR SP•4ES N�siaN N�ENSE SES CO p lot pto, S / 5 , � . SIs 36N J<i$w L tivtonc� f s T Cho; �) 0 atc - t -7 0 N o) 1V\o,..,vA X36 3 )c I f , Q- -A $ -1`- -'s 4-- V 4 \ or Ne fj'r l 1 6 J ,rn 1 � � v �A C! q 4 r �rrn co arc APPS )4 . ( y o n T I i 0 0 plot pta, d s �. S v i� �- � L\OAA s a 3� � $ w C�.`- o l7s"o ?Mks J�( . LS�+,a l.�*- 'Y'kCQ) "f 0*, r J � N X X { _ r APP�K. l T'o I Page3. Of r . Synthetic Gov zrinq Distribution Pipe }t TM- 03 Medium Sand Topsoil � o fl 3 % Slope Bad Of � Force Main Plowed Layer Aggregate D l a 9t . ?' Gross Section Of A Mound System Using F A Bed For The Absorption Area 0 A Ft. H - �--``` Dps ±- a� K �') Ft. L `7,-3 Ft. a' Position I /0 Ft. of W :, 3 Ft. Force Main j 4 Observation Pepe K box A _____ _____ ____�_____________________ - fir Oistributioly 0f Pipe.. Aggregate Observation Pipe ' iitAfit,o r Se cv Mtn Plan View Of Mound Using A Bed For The Absorption Area I Mar 17 04 03:49p CALVIN POWERS 715- 246 -5135 p.3 _ TANK PUMP CHAMBE CR055 • {- S EY'>'I�. �. OF 4 Cl VENT PIPE 12 MIN. ABOVE GRADE E 3 t , JUNCTION BOX APPROVED OVER 25' FROK.DOOR, WINDOW OR WITH CONDUIT MANHOLE C FRESH AIR _Ii4TAKE W/ PADLOCK & •WARNING LABEL 4 " MIN , ............._..... t� [ J LET I !\ 'WATER TIGHT SEALS - T - TIGHT i A SEAL APPROVED A �c� ALM JOINTS W/ CI CI PIPE ' PIPE 3' ONTO 3' ONTO ON SOLID SOIL SOLID C RISER EXIT SOIL PUMP OFF ELEV . 10 5 FT. •- - ~ O F PERMITTED ONL'r D IF.TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: �,�;.¢s��ms� C���,� t3UMBER DOSES PER DAY: _ S TANK SIZES SEPTIC L GAL. DOSE VOLUME INCLUDIN /7_ GAL' - DOSE - 1,5o GAL. ALARM MANUFACTURER: A c.S CAPACITIES: A = a5,1 INCHES = ) GAL. MODEL NUMBER: B = 2 INCHES = � �AL' SWITCH TYPE: Lc S __ c = 9,( INCHES = NO GAL PUMP MANUFACTURER: MODEL NUMBER: U _ D = gyp, $ INCHES = �y — GAL SWITCH TYPE: �� ' PUMP B ALARM WIRING AS PER ILHe 23 wAI REQUIRED DISCHARGE RATE GPM /0 FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + M NETWORK SUPPLY PRFS •.• • • • FEET + Q FEET FORC£MAIN 3 _ FT /100 FRICTION FACTOR•, -1� TOTAL DYNAMIC HEAD = INTERNAL DIMENSIONS OF PUMP TANK: LENGTH i WIDTH �_i DIAMETER �r LIQUID DEPTH e- 1 7 J Mar. 17 04 CALVIN POWERS 715 -246 -5135 p.4 OWTS OWNER'S MANUAL & MANAGEMENT PLAN Page u! o P piON vs TE lll SPEpRCp RE ank tvlarmufactaer S q NA Ow gal Vol. Per OD Tank Manufacturer J NA OtEU M PARAMETERS tic Dose 13 Holding Vol. (� gal Number of Bedrooms 17 NA D Number of Public Facil Units 0 NA Effluent Mantrfacttrrar Or (/1 �' lJ ❑ NA Estimated (average) flow alld Effluent Filter Model — C> p Maaufa ctcue� } LUL p l ❑ NA Design (peak} flow = (Estimated x 1.5) �� allda p u m p Pwnp Model f o Sol Application Rata allda lft° O NA Standard InfluentlEffluent Quality Mon average* Pretreatment Unit ❑ Sand /Gravel Filter 0 Peat Fitter F Oil & Grease (FOG) 530 mg1L Aeration ❑Wetland eiocheemicaf Oxygen Demand IBOD 5220 mgA. D NA ❑ Mechanical Total Suspended Solids (TSS) 5150 mg/L O D'rsinfeet)an D Other: Pretreated Effluent Quality Monthly average Manufacturer D'►spersai Cells) O NA Biochemical Oxygen Demand (800,1 530 mg/L ❑ In -Ground (gravity) D hrGround (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ NA ound D At -Grade M Fecal Coliform (geometric meaty jY, 0` cfu1100m1 (3 Other: in dia. 0 NA ❑ Drip -Lipa Maximum Effluent Particle Size Other 0 NA per 0 NA Other. ❑ NA •Valpical for domestic wastewater and septic tank effluent. ues typical SCHEDUf E Service Frequency gmyke Event D month(s) O NA inspect condition of tank(s) jWhen east once every: 3 saris) tMaximum 3 Veen) combined sludge and scum equals one - third (Y�) of tank volume ❑ NA Pump out contents of tank(s) h the high water alarm is activated 13 month(s) (Maximum 3 years) ❑ NA inspect dispersal cell(s) At least once every: p Is) 0 months) 0 NA Clean effluent filter At least once every: year(s) D mormth(s) 0 NA Inspect .pump, pump controls & alarm At least once every: earls) ❑ month(s) ❑ NA Rush laterals and pressure test At least once avert': year(s) 0 month(s) D NA Other: At least once every: D year(s) DNA Othdr: mAINTENANCE INSTRUCTIONS orme of the following licenses or sett cations: I of tanks and dispersal cells shall be made by an individual carrying Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector, POWTS Maintainer; SoeP» Servicing Operator (pumped. hardware, identify any cracks or Tank inspections must include a visual inspection of the tanks) to identify any nussing leaks, measure the volume of combined sludge and scum and a check for any back tip or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling condition ant requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one -third (y,) or more of the tank volume, the oved 6 a Septage Servicing Operator and disposed of in accordance with chapter NR 113 entire contents of the tank shall be rem Y Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatrner units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer_ A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (2102 I M GOULDS PUMPS Submersible Effluent Pump WE Series PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant, Single phase (60 Hz): can be operated continuously stainless steel. Threaded • Capacitor start motors for without damage when fully Specifically designed for the design. Locknut on all models maximum starting torque. submerged. following uses: to guard against component • Built -in overload with ■Bearings: Upper and • • Farms damage on accidental reverse automatic reset. lower heavy duty ball bearing rotation. • SJTOW or STOW severe duty construction. •Trailer courts ■ Fasteners: 300 series oil and water resistant power • Motels ■Power Cable: Severe duty • Schools stainless steel. cords. •'/3 and' /z HP models have rated, oil and water resistant. • Hospitals ■ Capable of running dry Epoxy seal on motor end • Industry without damage to NEMA three prong provides secondary moisture • Effluent systems components. grounding plugs. • 3 /4 HP and larger units have barrier in case of outer jacket ■ Designed for continuous bare lead cord ends. damage and to prevent oil SPECIFICATIONS operation when fully wicking. Standard cord is 20'. submerged. Optional lengths Three phase (60 Hz): 0 the are available. Pump Class 10 overload protection p ■ 0 -ring: Assures positive • Solids handling capabilities: MOTORS must be provided in sealing against contaminants ' /o" maximum. separately ordered starter • Discharge size: 2" NPT. ■ Fully submerged in high- unit. and oil leakage. • Capacities: up to 140 GPM. grade turbine oil for lubrication • STOW power cords all have AGENCY LISTINGS • Total heads: u to 128 feet and efficient heat transfer. bare lead cord ends. p Tested to UL 778 and ■ Class B insulation on TDH. ■Designed for Continuous csazz.ztoasta„aards • Temperature: 1 /3 -1' /2 HP models. Operation: Pump ratings are • By Canadian Standards 1041E (40)0) continuous ■ Class F insulation on 2 HP within the motor manufacturers �c us rFiie #�LR38549 1401E (60)0) intermittent. models. recommended working limits, Goulds Pumps is {SO 9001 Registered. • See order numbers on reverse side for specific HP METERS FEET voltage, phase and RPM'S 40 130 s available. WE95ww SERIES. WE _ .. a _ _ , r..__ _ __..SIZE : /4 SOLIDS 35 _ RPM. 3500 & 110._____ WE20w S GPM FEATURES 30 100' —�- I ■ Impeller: Cast iron, semi- 9owfrs►+ open, non clog with pump out 25 vanes for mechanical seal 80 ,- Etow protection. Balanced for 2 70 70 �EOw smooth operation. Silicon Z 6a bronze impeller available as ° woos 1s 50 _ an option. ao ■ Casing: Cast iron Vol e e 10 30 J � WfiO3M - - for maximum efficiency 2" NPT discharge, tyP s ■ Mechanical Seal: SILICON CARBIDE VS. SILICON o 0 ":.1'0" _. 2 0 30 .. _4 5 _ .. " : 80 90 100 110 120 130 140 150 1 60 GPM CARBIDE sealing faces. Stainless steel metal parts, 0 5 10 15 20 25 30 35 m /hr BUNA -N elastomers. CA PACI TY Goulds Pumps PM J 2003 Goulds Pumps G ITT Industries Effective July, 2003 www.goulds.com B3985 r r ^ r _ r ,. � ✓ :� • — .'�— � to 7 r- co O Cam+ y m 0 0 ti C I W`ssconsir Dapartrnent of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 LaWr ind Human Relatiorts Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code . COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11, inches in size. Plan must include, but not limited to vertical and horizontal reference poi n and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and d - e 026- 1046 -70 IEWED BY DATE APPLICANT INFORMATION -PLEAS RhtiVT ALL If�,FO' N PROPERTY OWNER: -.. PROPERTY LOCATION Melvin Konrad :..> ,f GOVT. LOT SE 1/4 SE 114,S 15 T 30 N,R 18 �(or) W PROPERTY OWNERS MA!UNG ADDRESS �} t LOT # BLOCK # SUBO. NAME OR CSM # 1280 Co. Rd. 'F r �' na na na CITY, STATE ZIP C — _ P E NUM ❑CITY ❑VILLAGE DOWN NEAREST ROAD New Richmond, WI. 54017',.x, 7i 246 -47. Co. Rd. [ J New Construction Use [ Residential % Ntfirt>t r of bedu oft 4 [ ] Addition to existing building (11 Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 4 bed, gpd/ft2 - 5 trench, gpd/ft Absorption area required 500 bed, ft2 500 trench, ft Maximum design loading rate • 4 bed, gpd /ft" • 5 trench, gpd/ft Recommended infiltration surface elevation(s) 100.65 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99-65 Parent material pitted glacial drift Flood plain elevation, if applicable na ft _j S = Suitable for system I CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system EIS IOU &I S El :ES ❑ U ❑ S 93 C3 S C2 U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure ConsistencelBotnday Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tn rK:h 1 -9 10yr4 /3 none 1 2msbk mfr gw 2f .5 .6 2 -21 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 21 -37 7,5yr4/4 none sl lmsbk mfr gw na .4 .5 ! elev. 99 ft. 4 37 -70 5yr4/4 f2d7. 5yr5/6 sicl m na na na np .2 Depth to limiting factor 37" T Remarks: Boring # :; 1 0 -9 10yr3 /3 none 1 2msbk mfr gw 2f . 5 .6 a `' 1 '' 2 9 -19 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 i Ground 3 19 -38 7.5yr4/4 none scl 2fgr mvfr Igw na .3 .4 1.4 elev. 4 38 -74 7.5 r4/4 none sicl m na na na n • .2 — 9 9.85 ft. Depth to limiting h � Remarks: CST Name _ Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Ave., New Richmond, Wi. 54017 9 -7 -95 Signature: Date: CST Number: MU - _ PROPERTyOWNER Melvin Konrady SOIL DESCRIPTION REPORT Pane 2 Cf 3 PARCEL I.D. # 026- 1046 -70 l Depth IDominantColor Mottles (Texture Structure Consistence I GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh.Y Roots Bed iTrendh 3 1 0 -11 10 r4/4 none 1 2msbk mfr gw 2f .5i.6 c, AM99i 2 1 11-20 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 .� i Ground 3 1 20-32 7.5 r4/4 none scl 2msbk mfr gw na .4i .5 99 ft. 4 32 -52 5yr4/4 none scl m na na na np! .2 , Depth to limiting i factor Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 b 2 0 -22 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 y 3 3 -42 7.5yr4/4 none sl lmsbk mvfr gw na .4 .5 Ground f 4 2 -72 7.5yr4/4 12d 7.5yr5/6 scl M na na na np .2 9 Depth to limiting fact — 7 G Remarks: Boring # Ground elev. ft. Depth to n� limiting factor Remarks: Boring # Ground elev. 1 ft. f Depth to limiting factor i Remarks: SBD- 8330(R.05/92) ' • STEEL' S SOIL SERVICE Gary L. Steel Melvin Konrady 1554 200th Ave. CSTM2298 SE4SE4 S15 T30N - R18W New Richmond, WI 54017 MPRSW 3254 town of Richmond (715) 246 -6200 4 lot 5 acres N 1 =40' Hn.= top of concrete sidewalk C el. 100' rrZC R �� loo V& b 4 l C ` Gary L. Steel 9 -7 -95 1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Yl Mailing Address � oa� C � - Property Address Sc, Yr� sL S` C10 / 7 (Verification required from Planning Department for new construction) City /State ' ' T� Lhmo✓� I ... , Parcel Identification Number d 6 —10 G LEGAL DESCRIPTION Property Location S L V., S '/ Sec. LS T 3 N -R O W Town of ' c� or) Subdivision N P , Lot # ) – Certified Survey Map # -- j 2 0�{ % , Volume Page # _ 0 / 3 Warranty Deed # Volum Page # Spec house Q Yes PT no Lot lines identifiable Qf Yes O no SYSTEM M > IVaN[`F Improper arse sad maintmaxiceof your septic system couid result in its Pmmstcere fail me to handle wasu& properimusi mance consists of pumping out the septic tank every throe y or sooner, if needed ce can affect the fimctiOn of the �' a licensed W'6at you put i � septic tank as a treataneat sage is the waste disposal system. The property owner agrees to submit to St. Croix master plumber, journeyman Zoning Department a certification foam, signed by the owner ann by a Per. reskieecd plumber or a ficeosed pumper verifying that (1) the aw -site watslawatwdisposa Vi is in proper opener condition aadtor (2) sfkw i nspecii 0 n and P (if +). the sew tank is leas than 113 fall of dodge. Uwe. the undersigned have read the above ToWn its sad ag= to maintain dt privase ac rage disposal sytem with dens stndatds set forth, berein, as net by the Departenat of Commence and the Departinew of NatuM Resosmees, Stet: of Wisconsin. Cesti6ratibn stating that your septic system has been maintained vaunt be completed days of the three year a and returned to the St. Croix C:ocmty Zoning Ot6m within 30 � � Bete. IGN TtJRE OF APPLICANT ` /`� DATE I (we) certify that all statements on this form are tme to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, y virtue of a warranty deed recorded in Register of Deeds Office. SIGN TURF OF APPLICANT / / O DATE Any information that is is- represented may result in the sanitary permit being revoked by the Zoning Department. " Include with this application: a stamped warranty deed from the Register of Deeds office i a copy of the certified survey map if reference is made in the warranty deed - wwmmvnusu VOL O/^K» [vj" " THIS SPACE nE"nvEv FOR RECORDING DATA � 1 � y�J ' ^,^_ ! ^',,�'x/ | � uvnxyum«\ DnymouJ �vlLo Joho Su�erberg_nuJ ,��/�|ST��� {J�F|C� � U � �lii�a�-��-oerc1cb--- -- -- -- --- sr c�u�co.vv|o~ ` ` � ---------------------- d.-yuf ��5��� /i[�ln7� | x^,,'=,,,,°,,,,/° ,, . w y!el,ul R. Dnura���ud Dona �._ � -- - ~-- |. Kc dy~ lhuo/ auc,`^if .- ` �"^� �u .| --------'--'---------------------------'-----'---- ` ,-- ' �ol1^r-�/uY-��6e�'�oivable-- ---------- ' � " ,"/""^/"""",, " - — - _ -- consideration o� following - ""nmw ,n � -- -----� - " ------ -'--'� -� '---------- ---- /,^°^"°,,.� , w � oni� a"/." ^." -` �°" «'' " 1 1 rm". no ` / � /"�~^ --.------ ' ^ ' ^= ^^ propert pnzt o Lhe SovU`,�art i/� "[ S"vchea:t l/4 o[ Section I5, . ' � Lhr ' - \ Ioxoshiy 30 North, Rou'/u .1.8 West, 2))v11 of Pickmond, St. Croix i Couo��, nin;oosix, ilm,oribeJ as fn1Iuos; comxeuoioq at the ' intersection of Uhe centerline of CTU "G" and STU "6" '/ thence South / South 89" 47' West 933, 08 feet; thence d North z � C" 37' 40" We t a � 45 feet to the point of buyiuuiog of the parqel to be described; thence North 0" 37' 40" Went 584, oce North 85~ 59' 40° West 366.57 feet; thence South 0" Ea st 611.98 feet; _ thence North 89* 47 East ' feet t the point of beginning. � - - 0 ` Exception m warrant ."". F EE c,`=m,o,, d, Wisconsin .^., 1d1 `/,�.« August 19 75 ^ '_---�-_____' _-_ ^ � ! x/nxcu ^nusc^4co m,xc Of ' ' ��i / ` - - � ~o°=`^'=^ (S EAL) � William if. oercick -- ----------'------- — -------' ( SEAL) S i g nat u re , . ; o � - ' ) -- --- --'-----' � _ � .. ----_� -_ _ _ - "" 'h" ".'"","^ ---�-'------ ----- ! C. D' �eiuntza � _ r.u". x.'rn+` Slate »"'^/°/""o""/"=w-1�#==P= � .��91 Z; - _�za�Z- - :g EL�����------ xrxrooF W/ xsm c,,*, ! i n ,h " - -_______ �", +___�__-_'_-�______--__-__�. the ^*.."""m',' -- _ _-_-__-------- -'---- -----'-'---------- | ." ^,^".^.^' `I,,,',,/,^.h. /^"=" ""A //° same. / ! r", ."^','""^^ `''`'^ ~/^. ! - --- � L , 2CI:3T 71-:��| Attmruo? _ r,uc"=v,.wi~ � � cw RichrxznJ, tqI 54017 . ,^, ,,, of °,,~,,,, ,"�*.,,,l. u, /.=".,",""(s,,�.°) o"/ | ' ,~ / ,^°° "'p�*�"" / ,^.,~^'"~`'°` "�~'" -",,°r"'' =^"' `,r' ~ � '°/ ^~ � � °°",°°., ",r"',r^`P. p.~ ~r °n�".�+ r"~°~v " ' /^,+ 1�tlMHJIH AN"' 31tl15 30 3 U- ` t U1 1 1 W P 1 t cli 4-- Q a -� 1 1[l 0 M co Q O ' . r) a- vi LO � k 4, ai N t fls t Q m N >- _ 1 r C► v z uj 2 u o:_ r U) io r i cam' Sb +►� to ra _._.. - ------- --_-_, m fr o N CD W Q m ` a) # M a' M „fib ,L�- ° N ., Cl Ul t ~a CL M W/ 'fA °3a al) D O N °5940 tW 105 °22 3 3739 .04� 26 c� 351.08 366,57 - SW 1/4 - SE 1/4 SE 1/4 - SE 1/ u w CD b `° o� `a. W � n o W PARCEL ID PARCEL IC 3 PARCEL 119 Z _P 5.02 ACRES 5.02 ACRES = 5.02 ACRES N � -to I M M ° rn NORTHERLY RIG T- OF- WAY LINE z BEGIN G N 89°1 0 N 0 °3740 "W -- 336.30 349.94' 365.39 — t - 0 _ N 89 10 1. 63' �, S 89 °47'W - - -It� 933.08' -- - -- - - - - -- - -- �— -- CORNER CENTERLINE OF COUNTY SOUTH LINE OF SE i/4 SE CORNER SECTION 15, TRUNK HIGHWAY G ' SECTION 15 T 30N, R 18 W OF SECTION 15 T30N, R 18 W SCALE LEGEND 200 Q 100 200 �- SECTION CORNER MONUMENT. 0 - 1" X 24" IRON PIPE WEIGHING 1.68 # /LINEAL FOOT. TRUE BEARING SURVEYED FOR: William Derrick R. R. #1, New Richmond, Wisconsin 54017 DESCRIPTION A parcel of land located in the SE1 /4 of the SE1 /4 and the SW1 /4 of the SE1 /4 of Section 15, T30N, R18W, Town of Richmond, St. Croix County, Wisconsin described as follows: Commencing at the SE corner of said Section 15; thence S89 ° 47'W (true bearini) 933.08' along the South line of said SE1 /4 of Section 15; thence NO 37 11 W 45.00' to the point of beginning; thence N0 0 37'40 "W 584.99 thence N85 ° 59 1 40 "W 1055.04 thence SO 0 37 1 40 11 E 662.67 thence N89 ° 47 1 E 1051.63' along the Northerly right -of -way line of present County Trunk Highway "G" to the point of beginning. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236.34 of the Wisconsin Stattites. Date: March 5, 1975. ...� FRANCIS H. OGDEN S- 2 Job No. 73 -166 FIL 4 1 F CIS �' MAR 2 S O• O Croix cou•hh � , Volume 1 Page 93 9� w � aUjq* 00